Tori palatinus , tori madibularis and treatment

Tori palatinus , tori madibularis and treatment Cases

1. MAXILLARY AND MANDIDIBULAR TORI By : ola Haider Buraq hussien

2. are common benign outgrowths of bone from the maxilla and mandible . in max. may project both inwards or outwards from the alveolar bone. or They typically also arise from the hard palate in the midline, in which case they are called tori palatini. in mand. , bony outgrowth located on the lingual side of the mandible, in the canine or premolar region, above the attachment of the mylohyoid muscle. In most cases, bilateral tori are present. You can be born with tori or develop it later in life max and mand tori

3. CLINICAL PRESENTATION They are usually asymptomatic and discovered incidentally but when tori continues growth become large and interfere with tongue mobility and speech, and the thin mucosa overlying the tori may be chronically irritated or injured when eating certain foods . they are interference when wearing a removable prosthesis and often must be removed . The growth of tori is very slow and may stop spontaneously.

4. Radiographic features The core of TP and TM will appear radioopaque as a dense and lobulated exostosis on radiographs and CT images

5. types of maxillary tori

6. types of madibular tori

7. HISTOLOGY Photomicrograph of histological appearance shows dense bony tissue, presence of lacunae and normal osteocytes Histology

8. They are composed of compact bone which is densely mineralised and usually without a medullary cavity. The cause mainly by environmental factors, such as bruxism, vitamin deficiencies and calcium-rich supplements, although genetic background also plays a key role. RIMBERIO Pathology

9. if tori begin painful , make eating and drinking difficult or become a problem when a person needs denture In this cases , tori removal is recommended There are two primary treatment options for tori removal, through traditional surgery and laser removal. treatment

10. surgical removal of max. Tori (a) A midline incision is made across the bony mass with lateral extensions anteriorly and posteriorly. (b) The mucoperiosteal flaps are reflected to expose the bony mass. (c) A bur is used to divide the torus into small pieces. (d) A chisel is used to elevate the small fragments of bone from the hard palate. (e) The wound is debrided and the bone is smoothed with a bur, then sutures are placed to close the wound.

11. surgical removal of mandibular tori a) A lingual torus is covered by thin oral mucosa and considerable care is required to avoid accidental perforation of the flap. (b) The muco-periosteal flap is raised to expose the entire bony mass. (c) A surgical bur or chisel may be used to remove the bony torus. (d) The wound is closed with multiple resorbable sutures.

12. Thank you